| 78791 - Diarrhea - as a primary diagnosis code | 78791 - Diarrhea - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.33 | |
| Readmission Rate (%) | 25.56 | |
| Unplanned Readmission Rate (%) | 16.66 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 78791 - Diarrhea | 15,703 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 78791 - Diarrhea in DRG | 74.8 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 78791 - Diarrhea | 3.66 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 78791 - Diarrhea | 20.76 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 78791 - Diarrhea | 14.79 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 78791 - Diarrhea | $73,037,628 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 78791 - Diarrhea | $1,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 78791 - Diarrhea | $4,651 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 78791 - Diarrhea | $350,881,390 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 78791 - Diarrhea | $22,345 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 78791 - Diarrhea | 0.33 | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 78791 - Diarrhea | 14.53 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 78791 - Diarrhea | 60.47 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 78791 - Diarrhea | 23 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 78791 - Diarrhea in DRG | 0.11 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 78791 - Diarrhea | 12.35 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 78791 - Diarrhea | NA | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 78791 - Diarrhea | NA | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 78791 - Diarrhea | $761,599 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 78791 - Diarrhea | $2,682 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 78791 - Diarrhea | $33,113 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 78791 - Diarrhea | $3,475,671 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 78791 - Diarrhea | $151,116 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 78791 - Diarrhea | NA | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 78791 - Diarrhea | NA | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 78791 - Diarrhea | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 271 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 89 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJAN KAPOOR | 471 N SEMORAN BLVD | WINTER PARK | FL | 32792 | 11 |
| Dr. MOHOMMED A MERCHANT | 1950 LEE RD | WINTER PARK | FL | 32278 | 11 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 78791 - Diarrhea | 42,914 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 78791 - Diarrhea in DRG | 6.72 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 78791 - Diarrhea | 7.77 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 78791 - Diarrhea | 26.52 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 78791 - Diarrhea | 17.78 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 78791 - Diarrhea | $533,656,412 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 78791 - Diarrhea | $1,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 78791 - Diarrhea | $12,435 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 78791 - Diarrhea | $2,526,906,152 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 78791 - Diarrhea | $58,883 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 78791 - Diarrhea | 8.91 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 78791 - Diarrhea | 29.27 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 78791 - Diarrhea | 27.77 |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD 78791 - Diarrhea | 16,721 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 78791 - Diarrhea in DRG | 2.62 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD 78791 - Diarrhea | 4.18 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD 78791 - Diarrhea | 19.83 | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD 78791 - Diarrhea | 14.31 | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD 78791 - Diarrhea | $81,169,219 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD 78791 - Diarrhea | $1,160 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD 78791 - Diarrhea | $4,854 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD 78791 - Diarrhea | $399,601,527 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD 78791 - Diarrhea | $23,898 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 78791 - Diarrhea | 0.2 | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD 78791 - Diarrhea | 24.5 | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD 78791 - Diarrhea | 45.83 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 78791 - Diarrhea | 10,899 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 78791 - Diarrhea in DRG | 1.71 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 78791 - Diarrhea | 7.4 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 78791 - Diarrhea | 24.88 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 78791 - Diarrhea | 17.61 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 78791 - Diarrhea | $103,918,672 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 78791 - Diarrhea | $1,289 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 78791 - Diarrhea | $9,535 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 78791 - Diarrhea | $529,566,713 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 78791 - Diarrhea | $48,589 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 78791 - Diarrhea | 3.71 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 78791 - Diarrhea | 26.14 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 78791 - Diarrhea | 36.75 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 78791 - Diarrhea | 7,322 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 78791 - Diarrhea in DRG | 1.15 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 78791 - Diarrhea | 5.45 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 78791 - Diarrhea | 18.75 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 78791 - Diarrhea | 12.78 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 78791 - Diarrhea | $40,139,512 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 78791 - Diarrhea | $1,006 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 78791 - Diarrhea | $5,482 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 78791 - Diarrhea | $204,644,259 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 78791 - Diarrhea | $27,949 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 78791 - Diarrhea | 0.18 | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 78791 - Diarrhea | 19.48 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 78791 - Diarrhea | 49.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,850 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,576 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 1,561 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 92 |
| Dr. CARL S BLANKENSHIP | 1219 MCGAVOCK ST | NASHVILLE | TN | 37203 | 74 |
| Dr. DONALD EDWARD AREGO | 701 OLYMPIC PLAZA | TYLER | TX | 75701 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 171 |
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 126 |
| Dr. MICHAEL F LUPINACCI | 175 LANCASTER BLVD | MECHANICSBURG | PA | 17055 | 120 |